Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.69 / $3,276.00 / $11,576.00	Facility		$260.69	$3,276.00	$11,576.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $179.06 / $196.35 / $213.01	Facility	54	$179.06	$196.35	$213.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.91 / $309.33 / $443.50	Professional		$245.91	$309.33	$443.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $317.43 / $441.00	Professional		$93.11	$317.43	$441.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.73 / $128.51 / $152.99	Facility		$126.73	$128.51	$152.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.52 / $396.58 / $622.46	Professional		$262.52	$396.58	$622.46
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,403.00 / $4,241.00	Facility		$1,438.00	$2,403.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $268.76 / $372.40	Professional		$134.38	$268.76	$372.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $238.83 / $452.51	Professional		$35.52	$238.83	$452.51
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.48 / $327.25 / $582.83	Professional		$234.48	$327.25	$582.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $247.41 / $266.30 / $266.30	Professional		$247.41	$266.30	$266.30